Music performance anxiety (MPA) is a common challenge for musicians across all levels of expertise and can have significant implications for both performance quality and wellbeing. Although mental training techniques such as breathing regulation, imagery, and self-talk have been widely applied in sports and music contexts, psychological research underscores the role of cognitive reappraisal—the reframing of stress responses—to mitigate negative impacts and facilitate adaptive responses. Despite growing evidence for the efficacy of reappraisal and visualization in other performance contexts, the integration of mental training and cognitive reappraisal interventions targeting MPA remains underexplored. This presentation introduces Performance Reappraisal Visualization (PRV), a novel approach to performance preparation that combines guided visualization with cognitive reappraisal strategies. Rather than attempting to suppress nervous arousal, PRV encourages performers to reframe anxious arousal as a source of focus, expressivity, and energy on stage. In this paper, we discuss PRV within the broader field of mental training, outlining relationships to established categories of activation regulation, motivation, emotion regulation, and mental practice before evaluating data from our investigative research into PRV application. An intervention study involving university music students guided participants through a range of activities related to identifying stress-inducing performance scenarios, visualization techniques, applying reappraisal strategies to reinterpret physiological and emotional responses, and directing focus toward musical goals and expressive intentions. Students reported benefits in both daily practice and pre-performance routines, highlighting the practical utility of the approach. Preliminary findings suggest that PRV enhances confidence, perceived control, and reappraisal of anxiety as a state of readiness and engagement rather than impairment. Through a combination of reappraisal and visualization, PRV offers a theoretically grounded and pedagogically accessible method for managing performance-related arousal. This contribution advances the dialogue on cognitive-emotional regulation in music performance and provides a structured framework with direct implications for educators, performers, and future intervention research.